# SAN ANTONIO EXTENDED MEDICAL CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Med Mart - San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164422143
- **Authorized official:** CARLOS BARRERA (PRESIDENT)
- **Authorized official phone:** (210) 697-9933

## Contact information

- **Practice address:** 21195 IH 10 W, SUITE 1101, SAN ANTONIO, TX 78257-1674
- **Practice address phone:** (210) 697-9933
- **Practice address fax:** (210) 697-8753
- **Mailing address:** 21195 IH 10 W, SUITE 1101, SAN ANTONIO, TX 78257-1674
- **Mailing address phone:** (210) 697-9933
- **Mailing address fax:** (210) 697-8753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | TX | Yes |

## Other

- **Enumeration date:** 07/30/2005
- **Last updated:** 01/10/2024